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NPI · 1780848119 · NPPES-sourced

Dr. Samuel Petersen D.D.S.

ActiveOral and Maxillofacial Surgery (Dentist)
NPI Number
1780848119
Type 1 · Individual
Contact
(209) 532-5578
License CA · 51511
Last Updated
Enumerated
Primary practice addressCA · 95370-5969
940 Sylva Ln Ste K1Sonora, CA 95370-5969
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About this NPIWhat this record shows.

NPI 1780848119 is registered to Dr. Samuel Petersen D.D.S., a Oral and Maxillofacial Surgery (Dentist) practising at 940 Sylva Ln Ste K1 in Sonora, California. Oral and Maxillofacial Surgery (Dentist) is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Samuel Petersen D.D.S. has been enumerated in the National Provider Identifier (NPI) registry since 2008.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Samuel Petersen D.D.S. accepts. To confirm in-network status with your specific health plan, contact Dr. Samuel Petersen D.D.S. directly at (209) 532-5578.

Frequently asked

Yes. NPI 1780848119 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Oral and Maxillofacial Surgery (Dentist) is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (209) 532-5578.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Samuel Petersen D.D.S. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1223S0112X
Last updated
Enumerated
StatusActive
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